A56.11 — Chlamydial female pelvic inflammatory disease
A56.11 is a billable, specific ICD-10-CM code for chlamydial female pelvic inflammatory disease. It is valid for submission on a claim.
Excludes1 inherited from the categories above A56.11
These are not written on A56.11, but they bind it: a note on a category applies to every code beneath it. Billing A56.11 with anything listed here is a denial.
Excludes2 inherited from the categories above A56.11
Also inherited, and the opposite of Excludes1: these conditions are not part of A56.11, but a patient can have both, so you may code both.
Other codes that can never be billed with A56.11
These codes carry an Excludes1 note pointing at A56.11. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading A56.11 alone.
- N74Female pelvic inflammatory disorders in diseases classified elsewhere
Risk adjustment
A56.11 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
A56.11 is named in 5 Medicare coverage policies — 5 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56421Billing and Coding: CT of the Abdomen and Pelvis
- A58710Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
- A58720Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
- A58747Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
How A56.11 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to A56.11.
- Chlamydia, chlamydial›endometritis
- Chlamydia, chlamydial›salpingitis
- Endometritis›chlamydial
- Salpingitis›chlamydial
- Chlamydia, chlamydial›female›pelvic inflammatory disease
- Chlamydia, chlamydial›female›pelviperitonitis
- Disease, diseased›pelvis, pelvic›inflammatory›chlamydial
Code history
A56.11 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.
Related codes at this level
Codes that share A56.1. If A56.11 is not quite right, the correct code is usually one of these.
Questions about A56.11
- Is A56.11 a billable ICD-10-CM code?
- Yes. A56.11 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does A56.11 sit in the tabular list?
- Certain infectious and parasitic diseases (A00-B99), in the block Infections with a predominantly sexual mode of transmission (A50-A64).
- What cannot be coded together with A56.11?
- A56.11 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above A56.11 (A56) and apply to it just the same.